摘要
目的构建面向住院患者的全院血糖管理系统,为住院患者血糖管理提供可追溯的管理手段。方法使用主动管理模式构建全院血糖管理系统,将血糖管理系统、电子病历、检验系统等有效结合,形成全院血糖信息化管理互联互通体系,实现血糖持续监测、分级预警和同质化管理。纳入系统上线前后试点科室的糖尿病患者各200例,通过对比术前等待时间、住院天数分析管理提升效果。结果系统上线后,试点科室的术前等待时间由5.00[3.00,8.00]d下降至4.00[2.25,6.00]d,住院天数由10.50[8.00,15.00]d下降至9.00[6.00,14.00]d,且差异均有统计学意义(P<0.05)。结论全院血糖管理系统有效提升了住院患者血糖控制水平,提高了血糖闭环管理和实施效率,是多学科协作慢病管理的具体应用,值得推广借鉴。
Objective To construct a hospital-wide blood glucose management system for inpatients,to provide a traceable management method for blood glucose management of inpatients.Methods The active management mode was used to construct the blood glucose management system of the whole hospital,and the blood glucose management system,electronic medical records and inspection system were effectively combined to form the interconnection system of blood glucose information management of the whole hospital,so as to realize the continuous monitoring,grading early warning and homogeneous management of blood glucose.A total of 200 patients with diabetes were included in each of the pilot departments before and after the system was launched,and the effect of management improvement was analyzed by comparing the preoperative waiting time and hospitalization days.Results After the system was launched,the preoperative waiting time of the pilot department decreased from 5.00[3.00,8.00]d to 4.00[2.25,6.00]d,the hospitalization days decreased from 10.50[8.00,15.00]d to 9.00[6.00,14.00]d,and the differences were statistically significant(P<0.05).Conclusion The hospital-wide blood glucose management system effectively improves the blood glucose control level of inpatients,and improves the closed-loop management and implementation efficiency of blood glucose.It is a specific application of multidisciplinary collaborative chronic disease management,which is worthy of promotion and reference.
作者
李瑞瑶
齐威
李林通
刘晓娇
朱玉婷
鲍瀛
LI Ruiyao;QI Wei;LI Lintong;LIU Xiaojiao;ZHU Yuting;BAO Ying(Department of Information Management,Nanjing Drum Tower Hospital,Nanjing Jiangsu 210008,China;Office of Public Health,Nanjing Drum Tower Hospital,Nanjing Jiangsu 210008,China;Department of Pharmacy,Nanjing Drum Tower Hospital,Nanjing Jiangsu 210008,China)
出处
《中国医疗设备》
2025年第2期40-45,共6页
China Medical Devices
基金
国家自然科学基金面上项目(62376058)
江苏省医院协会医院管理创新研究课题(JSYGY-3-2023-616)
南京大学中国医院改革发展研究院课题(NDYGN2023021)。
关键词
糖尿病
住院患者
血糖控制
主动血糖管理
互联互通
同质化管理
diabetes
inpatients
blood glucose control
active blood glucose management
interconnection
homogeneous management
